In teaching the patient about postoperative pain management, which statement by the nurse is best?

"The goal for your pain is 0 on a 0 to 10 scale."

"It is better not to have visitors if you are in pain."

"You will be given the lowest strength pain medication first.

“It is important that you request pain medication before the pain gets too severe."

Answer and Explanation

The Correct Answer is D

A. "The goal for your pain is 0 on a 0 to 10 scale.": A pain score of 0 may not always be realistic postoperatively. The goal is pain control, not complete elimination.

B. "It is better not to have visitors if you are in pain.": Social support can be beneficial in pain management, and visitors should not necessarily be restricted unless the patient finds them distressing.

C. "You will be given the lowest strength pain medication first.": Pain management is individualized, and stronger analgesics may be needed initially, especially after surgery.

D. "It is important that you request pain medication before the pain gets too severe.": Preemptive pain management helps prevent pain from becoming severe and difficult to control. Patients should be encouraged to ask for medication before pain intensifies.

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Correct Answer is C

Explanation

A. HCO3- 30 mEq/L: In chronic respiratory acidosis, the kidneys compensate by increasing bicarbonate (HCO3-) to buffer excess CO2.

B. Potassium 3.3 mEq/L: Respiratory acidosis is typically associated with hyperkalemia (high potassium), not hypokalemia (low potassium).

C. PaCO2 50 mm Hg: Respiratory acidosis is caused by CO2 retention, leading to an elevated PaCO2 (>45 mm Hg).

D. pH 7.45: A pH of 7.45 is normal or slightly alkalotic. Respiratory acidosis is characterized by a pH below 7.35.

A. A client who is taking a thiazide diuretic B. A client who has salicylate intoxication C. A client who has diarrhea D. A client who is vomiting

Correct Answer is C

Explanation

A. A client who is taking a thiazide diuretic: Thiazide diuretics promote loss of potassium and hydrogen ions, leading to metabolic alkalosis rather than acidosis.

B. A client who has salicylate intoxication: Early salicylate toxicity causes respiratory alkalosis, though severe cases can progress to metabolic acidosis.

C. A client who has diarrhea: Chronic diarrhea leads to excessive bicarbonate loss, resulting in metabolic acidosis.

D. A client who is vomiting: Vomiting leads to loss of stomach acid (HCl), which causes metabolic alkalosis, not acidosis.

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In teaching the patient about postoperative pain management, which statement by the nurse is best?

Nursing Test Bank

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